CN108430382A - The implantation material for being shaped to be adapted to bony structure including pedestal and associated production method - Google Patents
The implantation material for being shaped to be adapted to bony structure including pedestal and associated production method Download PDFInfo
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- CN108430382A CN108430382A CN201680076057.7A CN201680076057A CN108430382A CN 108430382 A CN108430382 A CN 108430382A CN 201680076057 A CN201680076057 A CN 201680076057A CN 108430382 A CN108430382 A CN 108430382A
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- implantation material
- bone
- support construction
- pedestal
- fixed part
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- 239000000463 material Substances 0.000 title claims abstract description 155
- 238000002513 implantation Methods 0.000 title claims abstract description 144
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 title claims abstract description 73
- 238000004519 manufacturing process Methods 0.000 title claims abstract description 7
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 82
- 238000010276 construction Methods 0.000 claims abstract description 67
- 238000000465 moulding Methods 0.000 claims description 15
- 238000000034 method Methods 0.000 abstract description 9
- 230000009286 beneficial effect Effects 0.000 description 35
- 210000000515 tooth Anatomy 0.000 description 22
- 210000002050 maxilla Anatomy 0.000 description 11
- 239000007943 implant Substances 0.000 description 7
- 238000013461 design Methods 0.000 description 6
- 239000003814 drug Substances 0.000 description 6
- 230000004907 flux Effects 0.000 description 6
- 229940079593 drug Drugs 0.000 description 5
- 210000001847 jaw Anatomy 0.000 description 5
- 206010016256 fatigue Diseases 0.000 description 4
- 238000009434 installation Methods 0.000 description 4
- 208000024891 symptom Diseases 0.000 description 4
- 241001465754 Metazoa Species 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 3
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- 238000003199 nucleic acid amplification method Methods 0.000 description 3
- 238000005457 optimization Methods 0.000 description 3
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- 239000000523 sample Substances 0.000 description 3
- 239000007787 solid Substances 0.000 description 3
- 238000011477 surgical intervention Methods 0.000 description 3
- 235000012773 waffles Nutrition 0.000 description 3
- 102000007350 Bone Morphogenetic Proteins Human genes 0.000 description 2
- 108010007726 Bone Morphogenetic Proteins Proteins 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 230000006978 adaptation Effects 0.000 description 2
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- 230000007547 defect Effects 0.000 description 2
- 239000004053 dental implant Substances 0.000 description 2
- 210000004513 dentition Anatomy 0.000 description 2
- 238000005553 drilling Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000003128 head Anatomy 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000002372 labelling Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000007433 nerve pathway Effects 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 230000036346 tooth eruption Effects 0.000 description 2
- 241000124008 Mammalia Species 0.000 description 1
- 208000006735 Periostitis Diseases 0.000 description 1
- 241000288906 Primates Species 0.000 description 1
- 229910004349 Ti-Al Inorganic materials 0.000 description 1
- 229910004692 Ti—Al Inorganic materials 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 230000001055 chewing effect Effects 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 210000002082 fibula Anatomy 0.000 description 1
- 210000000987 immune system Anatomy 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
- A61C8/0031—Juxtaosseous implants, i.e. implants lying over the outer surface of the jaw bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
- A61B5/0035—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
- A61B5/0036—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room including treatment, e.g., using an implantable medical device, ablating, ventilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
- A61B5/004—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room adapted for image acquisition of a particular organ or body part
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
- A61B6/51—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for dentistry
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C13/00—Dental prostheses; Making same
- A61C13/0003—Making bridge-work, inlays, implants or the like
- A61C13/0004—Computer-assisted sizing or machining of dental prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
-
- G—PHYSICS
- G05—CONTROLLING; REGULATING
- G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
- G05B19/00—Programme-control systems
- G05B19/02—Programme-control systems electric
- G05B19/18—Numerical control [NC], i.e. automatically operating machines, in particular machine tools, e.g. in a manufacturing environment, so as to execute positioning, movement or co-ordinated operations by means of programme data in numerical form
- G05B19/4097—Numerical control [NC], i.e. automatically operating machines, in particular machine tools, e.g. in a manufacturing environment, so as to execute positioning, movement or co-ordinated operations by means of programme data in numerical form characterised by using design data to control NC machines, e.g. CAD/CAM
- G05B19/4099—Surface or curve machining, making 3D objects, e.g. desktop manufacturing
-
- G—PHYSICS
- G05—CONTROLLING; REGULATING
- G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
- G05B2219/00—Program-control systems
- G05B2219/30—Nc systems
- G05B2219/35—Nc in input of data, input till input file format
- G05B2219/35012—Cad cam
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
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- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- High Energy & Nuclear Physics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Manufacturing & Machinery (AREA)
- Optics & Photonics (AREA)
- Theoretical Computer Science (AREA)
- General Physics & Mathematics (AREA)
- Pulmonology (AREA)
- Human Computer Interaction (AREA)
- Automation & Control Theory (AREA)
- Prostheses (AREA)
- Dental Prosthetics (AREA)
Abstract
The present invention relates to a kind of implantation materials (1) for being connected to bone (10) using support construction (2), support construction (2) includes at least one fixed part (3), at least one fixed part (3) follows bone external structure and will be connected to bone (10), wherein prominent from support construction (2) for receiving the pedestal (4) of prosthese directly or by middle section (abutment) is used.In addition, the invention further relates to a kind of method for producing implantation material (1), the method includes following step：Capture individual patient data；And it is based on individual patient data creation support construction (2) and/or pedestal (4).
Description
Technical field
The present invention relates to one kind for using support construction be connected to for example mammal (such as, primate, such as
The mankind) bone implantation material and a kind of method for producing this implantation material, support construction include at least one fixed part
Point, at least one fixed part follows bone external structure to be connected to bone.
Background technology
From the prior art, the implantation material for being used for example as jaw implantation material is known.The implantation material has substantially
The structure of the structure of plate shape, the basic upper plate shape can be adapted to bone only on limited extent in most two spaces planes
The profile of head.
Plate shape implantation material majority is largely adapted to bony structure, to which the implantation material is at most arranged in bone knot
On structure or it is located next to bony structure, i.e., is only located next to a plane, and bony structure is secured to by screw.Therefore it passes through
The carrying of implantation material in bony structure or neighboring region and screw realize the positional stability of the implantation material, the position of screw
It is predefined by implant structure.
In order to arrange implantation material during operation, the multiple checks of the positioning of implantation material are needed.For this purpose, it uses
Separated positioning aid, it is therefore desirable to which operating surgeon changes his/her grasping.
Since the molding of implantation material can only be adapted to bony structure on limited extent, thus cannot ensure through adjacent or
The permanent stabilization of bearing area positions.The fixation for the entire implantation material realized by single screw can only be prevented relative to rotation
The movement of stubborn axis transversely.However, at least insofar, be threadedly coupled and fluff in the past such as the time, Bu Nengyong
The possible rotation of the implantation material around screw axis is prevented long.
In addition, (screw) fixed position is defined via the prespecified geometric of implantation material.This causes in this way
The fact：Implantation material possibly can not be inserted into, because in fixed region, there is nerve and/or existing tooth, when passing through spiral shell
When nail carrys out fixation implant, the nerve and/or existing tooth are compromised.The fixed of implantation material is interfered having complete tooth
In the case of, this tooth must be removed similarly and must be utilized artificial tooth replacement.
In addition, the use of the implantation material needs have complete bony structure.Unless the latter exists, otherwise must for example lead to
It crosses and the structure of missing is replaced by the bone of the fibula from crista iliaca or from patient to reconstruct bony structure in advance.For this reason, it may be necessary to
The hospitalize of patient.
Implantation material includes various structures, such as has female hole, it is so-called that the hole prepares reception one (or multiple)
Abutment pedestal.The latter is usually screwed onto in the structure provided for this purpose.Abutment pedestal prepares to receive so-called again
Abutment, abutment are used for recipient's fraud tooth.This means that：Artificial tooth is connected to implantation material through abutment pedestal and abutment.
Prepare to receive the existing structure of abutment pedestal fixedly predetermined abutment pedestal to quasi- and therefore also predetermined abutment
Alignment.In this way, the alignment of artificial tooth is defined, and can only slightly be adapted to the individual dentition structure of patient.
In addition, the abutment that the screw axis of the abutment pedestal in implantation material is also generally correspond in abutment pedestal screws axis
Line.In this way, implantation material does not adapt to (or being only capable of adapting on limited extent) in the power obtained by masticatory movement
Flux.This leads to the premature fatigue symptom for the implantation material for reaching fatigue fracture.
Invention content
It is an object of the invention to eliminate or at least mitigate the prior art, and in particular, in that provide a kind of adaptation
In the plant being implanted in the case of the reconstruct of the bone of no any front while avoiding major surgery from intervening
Enter object and provides a kind of for producing the method for this implantation material and a kind of method for being implanted into the implantation material.
It is achieved the object of the present invention by the following fact：For receiving prosthese, (such as, endoprosthesis or external application are false
Body) pedestal directly or using middle section (abutment) from support construction protrude.
Advantageous embodiments are claimed in the dependent claims, and the Advantageous embodiments will be explained below.
Following situation is beneficial：Pedestal has the surrounding's outer profile protuberantia outstanding or protrusion relative to support construction
Form, such as protrusion type.Therefore, component in addition can be fastened to rapidly and for good and all institute in precalculated position
Pedestal is stated, be either fastened in the pedestal or is fixed through the pedestal.
In addition, following situation is beneficial：Pedestal is the integral single piece component of support construction, and preferably single material
Expect component.Support construction and being integrally formed for pedestal help to avoid junction, and therefore avoid potential vulnerability.As a result,
Obtain especially stable implantation material.
Another aspect of the present invention provides：Pedestal is prepared with non-positive connection type, with positive connection type and/or with bonding
Mode receives prosthese or middle section.This can realize the simple connection or installation of prosthese or middle section.
Advantageous embodiments provide：The preparation is screw thread (such as, internal thread or external screw thread) or stop shape (that is, convenient
Or can realize positive fixed and/or non-just fixed this profile).Stop shape includes valuably undercutting.
In addition, following situation is beneficial：Stop shape includes vaulted, spherical or spherical surface distal part.The distal part can
It realizes the simple attachment with prosthese or middle section or simply connect.
Following situation is further beneficial：Pedestal, which has, slides into matching design.In this way, prosthese or middle part
Pedestal can be easily clipped to by dividing, and any other connecting element (such as, screw) can be removed.
Another Advantageous embodiments provide：Middle section is designed to dental implant, and is preferably being inserted into abutment
Artificial tooth or corona are simultaneously supported, or prepares support or the shape using abutment.
Following situation is beneficial：Pedestal tiltedly prolongs along transverse direction or over the ground relative to the longitudinal extension of support construction
It stretches.This makes tilting for pedestal that can correspond to the inclination for being fixed to its artificial tooth/corona.Therefore, artificial denture is to patient's
The adaptation of individual dentition structure be it is possible-and therefore, the flux optimum position of prosthese-implantation material combination is also possible.
In addition, following situation is beneficial：In the presence of the multiple pedestals designed in a manner of column.This structure makes it possible to
Multiple artificial tooths and/or corona or rod middle section are received, by all pedestals in the form of being arranged in the crossbeam on pedestal
Interconnection with improve by prosthese be mounted or connected to implantation material and/or increase prosthesis and implant between installation or connection it is strong
Degree.
Another possible Advantageous embodiments provide：Be longitudinally extended side of all longitudinal axis of pedestal relative to support construction
To transversely or tiltedly extending over the ground.This allows each bottom for being directed at each patient for the best orientation for being individually adapted to prosthese
Seat.
Following situation is also beneficial：All longitudinal axis of pedestal are just directed toward identical direction in space.With this
Mode, pedestal can be easily connected to crossbeam to expand the stabilization of the bearing surface of prosthese and/or the bottom of raising prosthese
Property.
Another aspect of the present invention provides：Support construction is grill-shaped, or with one or more grill portions and/or
Perforation shoulder.On the one hand, material can be saved, and therefore can also save cost, and at the same time, can promote bone and/
Or soft tissue is grown into cell structure, this passes through the formation of the three-level stability between the bone around implantation material and implantation material
And cause to be stably connected with.
In this case, situation below is beneficial：Support construction, grill portion and/or shoulder include having to lead to
One perforation of the form in hole (such as, hole) or multiple perforation.Therefore, cell structure is used as fixing device simultaneously, and
Therefore, the fixed point/device being separately provided can be removed.
Following situation is beneficial：Through-hole is designed to receive the screw that will be screwed onto in bone.Therefore, for connecing
Receiving the arrangement of the separated through-hole on the implantation material of screw can be removed.
In addition, following situation is beneficial：It is detached through conical region or separates distal part and truncated cylinder part, because with this
Mode can realize the very small height between dental implant and the prosthese being disposed thereon, because need not observe
Minimum length (such as, the minimum depth of thread).
Following situation is also beneficial：Pedestal includes cylindrical external outline or flux optimization outer profile.This is helped to avoid
The fatigue symptom of material is implanted into caused by not by the design of the pedestal of flux optimization.
Advantageous embodiments provide：Pedestal preferably has at least partly hollow cylindrical shape in distal side.This shape is false
The structure of the connection of body provides maximum variation.
One or more of pedestals are valuably inserted into and/or are arranged to replace bony material, or can be arranged
To replace bony material.In this way it is possible to the complicated bone for avoiding passing through oneself or external bony material to realize
Reconstruct.
Another aspect of the present invention provides：In implantation material, multiple bones moldings lock part be provided and it is several where
Face is configured and is aligned, to especially realized in animal or human body during insertion or in an inserted condition on bone at
Type locks bottom.Implantation material is clearly arranged in this permission in the case of no any a large amount of effort, and is exempted any separated
Positioning auxiliary.
Following situation is beneficial：Bone molding lock part is configured and is aligned in geometric aspects, to described
The single stable carrying position of implantation material is realized on bone in bottom.Therefore, promote positioning, and substantially reduce or almost
The risk of the location of mistake of implantation material is avoided completely.
The implantation material that the bone being spatially separated there are at least three is molded lock part has turned out to be beneficial.It is multiple
The bone molding lock part being spatially separated helps to increase that adjoining and the positioning accuracy of implantation material.
Following situation is also beneficial：Prepare in different bone parts on different spaces direction each of adjacent to each other
Bone is molded lock part.Therefore, the adjoining of implantation material and positioning accuracy further increase, and the position of implantation material is stablized
Property enhancing.This means that：Largely prevent implantation material from being moved in terms of its position.
In addition, the preparation of bone molding lock part is beneficial, to which bone parts can be surrounded.Bone parts
Surround the risk for the movement for helping to be further reduced implantation material.
One Advantageous embodiments provides：The component shape that bone molding lock part is separated by support construction or with support construction
At preferably according to single-piece, being integrally formed and/or formed by single material.Bone is molded lock part and support construction
Single part design helps to reduce the quantity of part and saves material cost.In addition, the one-piece design also helps to increase that branch
The positioning accuracy of support structure and/or separated component.
As solid components (such as, stick) and/or the close bone by individual bone or the outer profile adjacent with bone
Bone molding lock part and/or support construction patient's specific adjusted design and for its CAD/CAM use
It is proved to be beneficial.In this way it is possible to produce the implantation material for being individually adapted to each sick human needs.
In addition, following situation is beneficial：It is molded in lock part in bone, there are at least one screw bore or more
A screw bore.Therefore, bone molding lock part is simultaneously as bore template and as securing an implant to bone
The fixing device of head.
Another Advantageous embodiments are shown：Bone is molded lock part and/or support construction includes one or more bonding pads
Domain by bone molding locking to be fixed to support construction.
In addition, the presence of multiple grid fastening points has turned out to be beneficial.Therefore, securing an implant to bone can be a
It is not adapted to patient and nerve pathway, and can be avoided during fixation may existing tooth.
In addition it is beneficial that a kind of implantation material, wherein one or more of bone screw will be screwed onto for receiving
Support construction on predefine and prepare fixed area in geometric aspects, for receive one or more pedestals of prosthese according to
Its certain space length exists.Therefore, support construction is used as drilling and locating template.In addition, the installation of the implantation material on bone
The installation (the second screw axis) of (the first screw axis) and prosthese is spatially separating the excessive machinery prevented due in a point
The premature fatigue symptom of material is implanted into caused by load.
In this case, situation below is beneficial：Across the vertical of the screw that will be inserted into or be inserted into
Longitudinal axis (the especially screw axis of pedestal) to axis relative to pedestal transversely, is tiltedly aligned over the ground or on the bias.With
This mode can be arranged according to flux optimal way according to influence factor that may be present (such as, nerve pathway or tooth)
The direction of screw that is being inserted into or will be inserted into, and furthermore it is possible to avoid the implantation material described in front
Local mechanical overloads.
Another Advantageous embodiments provide：Fixed area and the pedestal length separated by a distance more than screw, and/or more than solid
Determine 1.2,2 or 3 times of the thickness in region and the length less than screw 500 times, and/or less than the thickness in fixed area
400 times.It is accordingly possible to ensure the intensity of the implantation material needed, and premature fatigue symptom can be avoided.
Following situation has turned out to be beneficial：Pedestal is configured, to which it can be real according to locking or non-locking principle
The connection of existing prosthese or middle section.
In addition, following situation is beneficial：Implantation material (for example, support construction and/or pedestal or a pedestal) has
Form for medical or the reservoir of cological drugs.It therefore, can be in implantation material with drug delivery system (such as, medicine
Object release capsule) form place such as drug (especially those must very long-period of management/take over drug), and with this
Kind mode manages them.Medical or cological drugs patients must be for good and all taken for it, this is particularly useful, because this
Medication can no longer pass out of mind, and overdose can be avoided by.In this case, hence it is evident that utilize probe measurement technique.
By preparing to chew energy and to be preferably used for implantation material to charge the battery another to constitute for convert
Advantage.Energy is obtained in this way can be used for providing energy to that for example there is in internal smaller accumulator.
Another Advantageous embodiments provide the implantation material of the form with jaw implantation material, such as lower jaw or upper jaw implantation material.This
Kind implantation material can be used for partly having tooth and not have jaw dentulous.
In addition, following situation is beneficial：Designed according to material and geometry/prepare support construction so as to reality
The nestable arrangement of existing prosthese.Therefore, the state of main bone defect is (such as, in the swollen of the excision of the part including jaw
After tumor operation) it can also be handled.
Following situation is also beneficial：There is coating, the coating to promote bone uptake, add for support construction and/or pedestal
Strong immune system causes antibiosis and/or using the reservoir function for example using bone morphogenetic protein (BMP).
In addition, following situation is beneficial：One component or all components are made of titanium, titanium alloy or Ti-Al alloys.
Titanium and titanium alloy have high biocompatibility and high inertia, and are therefore suitable as the material of implantation material.
Another Advantageous embodiments provide a kind of positioning aid being present on support construction and/or pedestal.The positioning
Assistor help operating surgeon checks during the insertion of implantation material to be properly positioned, and is then examined in subsequent operation period
Look into whether implantation material may move.
In this case, situation below is beneficial：Positioning aid is label, such as laser labelling and/or prominent
It rises, such as flange.Particularly with inspection is performed by X-ray later, the protrusion is beneficial, because being seen from this picture
It examines, the protrusion is apparent.
The design of support construction as excision, positioning and/or bore template is beneficial.By in implantation material or support
The function is integrated in structure, being typically used as the other device of this template can be removed.
Following situation is also beneficial：One or more of join domains are described including partially or even wholly penetrating
The hole of join domain, hole form for example with hole are preferably used for receiving screw.
In addition, describing a kind of method producing implantation material, the method includes following step：Such as use MRT or CT
Capture individual patient data, including such as bone and/or soft tissue structure, including each outer profile；Based on individual patient data example
Laser sintered establishment support construction and/or pedestal are such as preferably by by CAD/CAM technologies.
In addition, describing a kind of method being implanted to the implantation material produced as described above in animal or human body.Match as follows
The modification set is particularly useful：
Therefore, situation below is beneficial：Implantation material includes threaded hole, threaded hole alignment, to they can by with
Act on bore template hole being introduced into bone.Therefore, implantation material is used as bore template simultaneously, and therefore, and operation is outer
Section doctor no longer needs to arrange any separated bore template.This is helped in the considerably facilitate bone for receiving such as screw
The production in hole.
In this case, situation below is beneficial：Threaded hole by least tiltedly over the ground/it is transversely or right on the bias
It is accurate.Here the oblique of threaded hole means that screw is not parallelly arranged on a direction in space to alignment, and deflection describes
The non-parallel alignment of threaded hole at least two direction in spaces.Therefore, the screw energy for securing an implant to bone
It is enough to be individually adapted to each patient, and can be provided, to which nerve and tooth/root are all not compromised.
One Advantageous embodiments provides：The internal diameter of threaded hole is adjusted to the outer diameter of the desired aperture in drill bit and/or bone.
Therefore, implantation material is used as bore template simultaneously.
Following situation is beneficial：The internal diameter of threaded hole is about the 0.8 of expected bone hole, 0.85 or 0.9 to 0.99
Times.Within the scope of this, being accurately positioned for the bone hole above bone hole being present in implantation material is possible.
Another Advantageous embodiments provide：Threaded hole is disposed in the region of the support construction of implantation material.
Following situation is beneficial：Threaded hole be formed relative to support construction surface tilt/tiltedly to arrangement.Cause
This, is possible according to the individual positioning of the screw of each patient data, and meanwhile, it is capable to which the flux optimization for providing threaded hole is fixed
Position.
In addition, following situation is beneficial：Implantation material itself has the form for the bore template for including drill bit guide bush, or
Person can be used as include drill bit guide bush bore template.Therefore, it is possible to abandon using separated bore template, operative surgery is cured
For life, the convenient bone hole during surgical intervention being properly positioned and drilling.
Another Advantageous embodiments provide：Support construction includes for example this outer by expansion, protrusion and/or groove
Profile leads to the visible moulding modification for being implanted into the people of implantation material.In this way, it can be performed simultaneously and make with the setting of implantation material
The reconstruct for the profile that type is corrected or be initially there are.
In addition, describing a kind of method producing this implantation material.
Method for producing this implantation material, situation below is beneficial：Based on the patient's certain number obtained in the past
According to screw bore is introduced in this way, i.e., after being implanted into implantation material, screw bore is used as the pressure for drill bit
Guiding piece can be used for hole being introduced into bone.
In addition, the possible embodiment of implantation material provides：Implantation material 1 includes the number of screw bore and is arranged in bone
Each left end of outline portion and two labels of right end.
Screw bore number as operating surgeon orientation assistor because and not all screw base hole be used for
Bone is secured an implant to by screw.During surgical intervention, operating surgeon can see that screw will from number
Which it is arranged in screw bore, and he/her can check whether he/her has been arranged institute's screw in need.
Label is the laser labelling that can be detected by probe and/or protrusion.On the one hand, operating surgeon can be through
This mark check implantation material is properly positioned.On the other hand, the label can be used for marking bone that must be removed (example
Such as, due to tumor tissues) region and therefore can be by means of probe scanning as operating surgeon during intervention
Check mark, and therefore, he/her can check whether he/her cuts off bone region to be removed completely.
In other words, the present invention includes a kind of implantation material of the join domain as support construction and offer for prosthese
With a kind of method producing the implantation material and a kind of method being implanted to the implantation material in animal or human body.
Figure of description
Hereinafter, by the present invention is illustrated in detail in by showing the attached drawing of different variations, wherein
Fig. 1 shows the space representation of the implantation material in the first embodiment for mandibular,
Fig. 2 shows the space representation of the implantation material in the second embodiment for mandibular,
Fig. 3 shows the amplification space representation of the implantation material of the second embodiment for mandibular,
Fig. 4 shows the space representation of the implantation material in the 3rd embodiment for mandibular when viewed from the top,
Fig. 5 shows from tiltedly to the space representation of the implantation material of the 3rd embodiment for mandibular from lateral,
Fig. 6 shows the front view of the implantation material in the fourth embodiment for maxilla,
Fig. 7 shows the vertical view of the implantation material of the fourth embodiment for maxilla,
Fig. 8 is shown in the space representation of the implantation material in the 5th embodiment for maxilla under implanting state,
Fig. 9 is shown in the side view of the implantation material of the 5th embodiment for maxilla under implanting state.
Attached drawing is only illustrative, and is only used for the understanding of the present invention.Identical element label having the same.Individual
The feature of embodiment also can be implemented in other embodiments.Therefore, they are interchangeable.
Specific implementation mode
Fig. 1 shows the space representations of the implantation material in the first embodiment for mandibular.Implantation material 1 includes support construction
2, support construction 2 includes the multiple pedestals for following multiple fixed parts 3 of bone external structure and being integrally formed with support construction 2
4。
It includes annular section 6 that support construction 2, which has gridiron 5, gridiron 5, and annular section 6 is through different length
Shoulder 7 and be interconnected.Support construction 2 is accurately installed to the bone profile that it abuts or carries, and it can be thin
The auxiliary body 9 for being divided into main body 8 and extending in distal side, auxiliary body 9 correspond to fixed part 3.
Fixed part 3, which is in line, extends outwardly away from the main body 8 of support construction 2.They by screw for (not shown for example
Going out) implantation material 1 is fixed to existing bony structure 10 or bone by (especially osteorrhaphy screw), and they are configured, from
And when close to bony structure 10, they are bonded with the latter and constitute so-called bone molding lock part 11.
In this embodiment, implantation material 1 includes three pedestals 4 being integrally formed with support construction 2.Pedestal 4 is empty
The heart is cylindrical, and has different height and gradient.Although implantation material 1 is generally placed at below oral mucosa or periosteum,
But pedestal 4 is projected into from it in oral cavity, and is used to receive middle section (not shown) or so-called bridge in this embodiment
Platform (not shown).
Through middle section (not shown), implantation material 1 is prepared through abutment (not shown) supporting prostheses (not shown), Huo Zhezhong
Between part (not shown) be used as abutment (not shown).
Fig. 2 indicates the space view of the implantation material in the second embodiment for mandibular.Just as first embodiment,
It includes multiple fixed parts 3 that the second embodiment, which has support construction 2, support construction 2,.In this embodiment, it wraps in advance
The profile for including the support construction 2 of fixed part 3 is also accurately adapted to the bony structure 10 of carrying implantation material 1.
Second embodiment includes the pedestal 4 being integrally formed with support construction 2, and each pedestal 4 includes through conical region 13
The spherical distal part 12 separated with the truncated cylinder part 14 of pedestal 4.
Instead of spherical shape, the distal part 12 can have any other possible geometry, such as truncated cone, cylinder
The geometries such as shape, box-like, star.
Distal part 12 is used as receiving prosthese (not shown) (such as, artificial tooth)/prosthese (not shown) (such as, artificial tooth) is solid
Surely the part that the slide-in of implantation material 1 is connected is arrived.Prosthese includes the corresponding geometric form with the geometric match of distal part 12
Shape.
Fig. 3 shows the amplification space view of the implantation material 1 of second embodiment.This figure clearly reveals out：Grill-shaped knot
Structure 5 or cell structure 5 are accurately adapted to bony structure 10.The annular section 6 of waffle structure 5 has the form of through-hole 15,
Through-hole 15 is configured as receiving the screw (not shown) that will be screwed onto in bony structure 10, as previously described.
For second embodiment tool described herein there are two pedestal 4, pedestal 4 includes spherical distal part 12.Amplification indicates clearly
It discloses：Two pedestals 4 not only have different height, but also have its different centers or longitudinal axis M1And M2Relative to implantation material 1
Longitudinal axis L1Inclined angle.
Truncated cylinder part 14 allows to have been carried out the non-of pedestal 4 with being integrally formed for distal part 12 separated through conical section 13
Often small overall height, due to minimum reach, the designing two portions of truncated cylinder can not achieve the very small overall height,
The designing two portions of the truncated cylinder, which have, is adapted to be screwed to the abutment (not shown) in truncated cylinder for example as the connection for prosthese
Element.
Fig. 4 indicates the space view of the implantation material 1 in the 3rd embodiment for mandibular when viewed from the top.This
A embodiment includes similarly two pedestals 4, and described two pedestals 4 are integrally formed by truncated cylinder part 14 and distal part 12.With
Implantation material 1 in two embodiments is compared, and 3rd embodiment shown here has the longitudinal axis L along implantation material 11Direction
Longer fixed part 3 (top in this drawing).
Fig. 5 indicates the space of the implantation material 1 of the 3rd embodiment for mandibular when from tiltedly to lateral
It indicates (Fig. 4).This view indicates the structure or support construction 2 for the implantation material profile accurately installed, including fixation again
Part 3 is molded lock part 11 as the correspondence geometry for the bony structure 10 being disposed below or as bone.In other words
It says, the profile of implantation material 1 or support construction 2 is accurately adapted to the bone for carrying implantation material 1 or support construction 2 in the stationary state
Header structure 10.
The precise forming helps operating surgeon to arrange implantation material 1 to be inserted into implantation material 1 during surgical intervention.With
This mode, location of mistake can be avoided by, and in addition, other positioning aid can be largely removed.
The embodiment one to three of implantation material 1 can be applied to partly have tooth or not have mandibular dentulous to pass through
The artificial tooth supported by implantation material 1 compensates the tooth of missing.
Fig. 6 indicates the front view of the implantation material 1 in the fourth embodiment designed for maxilla.Implantation material 1 similarly wraps
Support construction 2 is included, support construction 2 has fixed part 3.However, the support construction 2 does not have waffle structure 5 (referring to Fig. 1
To Fig. 5).The support construction 2 of this embodiment has multiple through-holes 15, and 15 form with hole of through-hole, hole includes for receiving
Such as the correspondence bore portion 16 of counter-sunk screw (not shown), through counter-sunk screw, implantation material 1 is connected to bony structure 10 (here
It is not shown, referring to Fig. 1 to Fig. 5).
The through-hole 15 that not be used to receive screw (for implantation material 1 to be fixed to bony structure 10) is used as bone and soft group
Knit the growth district of structure, thus make implantation material 1 after some time so-calledly with bone 10 " in conjunction with ", and with this side
Formula forms three-level stability between bone 10 and implantation material 1.
From support construction 2, three pedestals 4 in downward direction extend, and use hollow cylindrical shape.When implantation material 1 is set
Timing, each pedestal 4 have the different height for being finely tailored as each sick human needs.Pedestal 4 is not located parallel to implantation material 1
Longitudinal axis L2Straight line on, but relative to the longitudinal axis L of implantation material 12(in this case, with different distance
Referring to Fig. 7).
Fig. 7 shows the vertical view of the implantation material 1 of the fourth embodiment for maxilla.It is clearly visible from this figure：Pedestal 4
Longitudinal axis L relative to implantation material 12With different distance：With the axis A of the central crossbar of pedestal 43、A4And A5Relative to plant
Enter the longitudinal axis L of object 12With different spaces.
In addition, central axis M3、M4And M5Longitudinal axis L relative to implantation material 12With different deflections and angle of inclination.
When implantation material is designed to the jaw for making the prosthese for being received and being supported by implantation material 1 be optimally adapted to each patient and/or tooth
When structure, the angle is similarly established.Other than the optimum apjustment of the implantation material for chewing stress, this also enables prosthese
Enough aesthetically most preferably partial sets of engagement tooth.
Fig. 8 shows the space representations of the implantation material 1 in the 5th embodiment for maxilla under implanting state.
In five embodiments, implantation material 1 has grill-shaped support construction 2 again.Support construction 2 includes multiple fixed parts 3, about fixation
The profile of part 3, fixed part 3 are adapted to have bony structure 10 (correspond to bone and be molded lock part 11).
For the tool of implantation material 1 there are three pedestal 4, each pedestal 4 includes hollow cylinder truncated cylinder part 14.At each hollow cylinder bottom
In seat 4, it is inserted into abutment 17, abutment 17 includes truncated cylinder part 18, and truncated cylinder part 18 has integral formed spherical distal part
19.For this purpose, for example, abutment 17 is screwed onto in pedestal 4.Spherical distal part 19 is used to prosthese (not shown) being connected to plant
Enter object 1.
Fig. 9 is shown in the side view of the implantation material of the 5th embodiment for maxilla under implanting state.This side view
Figure discloses：The central axis M of each pedestal 46、M7And M8The longitudinal axis L relative to support construction 2 is shown again3Difference partially
Oblique or angle of inclination.In addition, for example clearly visible in pedestal 4, pedestal 4 can also be relative to central axis M6With slight bending.
1 embodiment of implantation material shown here is not by for example for have maxilla dentulous to provide for receiving prosthese
Frame or support construction 2, the frame interconnect both sides through maxilla.In addition, the implantation material 1 of the 5th embodiment can be also applied to
Partly maxilla dentulous, wherein implantation material 1 can handle the state of main bone defect (for example, due to cutting off the upper jaw
The tumor operation of a part for bone).
Label
1 implantation material
2 support constructions
3 fixed parts
4 pedestals
5 waffle structures
6 annular sections
7 shoulders
8 main bodys
9 auxiliary bodies
10 bony structures
11 bones are molded lock part
12 distal parts
13 conical regions
14 truncated cylinder parts
15 through-holes
16 include the hole for immersing oneself in part
17 abutments
18 truncated cylinder parts
19 distal parts
L1, L2, L3 longitudinal axis
The center M1, M2, M3, M4, M5, M6, M7, M8 or longitudinal axis
A3, A4, A5 axis
Claims (9)
1. implantation material (1) of the one kind for being connected to bone (10) using support construction (2), support construction (2) includes at least one
A fixed part (3), at least one fixed part (3) follow bone external structure and will be connected to bone (10),
It is characterized in that, it is prominent from support construction (2) for receiving the pedestal (4) of prosthese directly or by middle section is used, wherein
Pedestal (4) is the integral single piece component of support construction (2).
2. implantation material (1) as described in claim 1, which is characterized in that pedestal (4) tool is relative to support construction (2)
Surrounding outer profile protuberantia outstanding or projection form.
3. implantation material (1) as claimed in claim 1 or 2, which is characterized in that the pedestal (4) is prepared with non-positive connection side
Formula receives prosthese or middle section with positive connection type and/or with bonding mode.
4. preferably as described in any one of claims 1 to 3 for being connected to bone (10) using support construction (2)
Implantation material (1), support construction (2) include at least one fixed part (3), and at least one fixed part (3) follows bone
External structure and bone (10) will be connected to, which is characterized in that multiple bones moldings lock part (11) be provided and
It is configured and is aligned in terms of geometry, to realizes that the molding on bone (10) locks bottom.
5. implantation material (1) as claimed in claim 4, which is characterized in that bone molding lock part (11) is in geometric form
It is configured and is aligned in terms of shape, to which the bottom realizes that stablizing for implantation material (1) carries position on bone (10).
6. implantation material (1) as claimed in claim 5, which is characterized in that provide at least three bones being spatially separated from each other
Head molding lock part (11).
7. preferably as described in any one of foregoing Claims for being connected to bone (10) using support construction (2)
Implantation material (1), support construction (2) include at least one fixed part (3), and at least one fixed part (3) follows bone
External structure and bone (10) will be connected to, which is characterized in that predefined in support construction (2) and in geometry side
Face prepares fixed part (3) will be screwed onto one or more of bone (10) screw to receive, wherein being separated by one with it
Determine at space length, a pedestal (4) or multiple pedestals (4) are provided to receive prosthese.
8. implantation material (1) as claimed in claim 7, which is characterized in that pass through the longitudinal axis (M relative to pedestal (4)1、M2、
M3、M4、M5、M6、M7、M8), the especially screw axis of pedestal (4) will transversely, be tiltedly inserted into or just over the ground or on the bias
In the screw being inserted into, longitudinal axis is aligned.
9. a kind of method for producing the implantation material (1) as described in any one of foregoing Claims includes the following steps：
Individual patient data are captured by MRT and/or CT, support construction (2) is created by CAD data based on individual patient data
And/or pedestal (4).
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102015122800.9 | 2015-12-23 | ||
| DE102015122800.9A DE102015122800B3 (en) | 2015-12-23 | 2015-12-23 | Bone structure adapted molded implant with socket and associated manufacturing process |
| PCT/EP2016/079244 WO2017108357A1 (en) | 2015-12-23 | 2016-11-30 | Implant shaped to be adapted to bone structure comprising a base and associated production method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108430382A true CN108430382A (en) | 2018-08-21 |
| CN108430382B CN108430382B (en) | 2022-05-13 |
Family
ID=57442698
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201680076057.7A Active CN108430382B (en) | 2015-12-23 | 2016-11-30 | Implant shaped to adapt to a bone structure comprising a base and associated production method |
Country Status (10)
| Country | Link |
|---|---|
| US (1) | US20200261189A1 (en) |
| EP (1) | EP3393395A1 (en) |
| JP (2) | JP2018538101A (en) |
| CN (1) | CN108430382B (en) |
| AU (1) | AU2016375815B2 (en) |
| BR (1) | BR112018012778B1 (en) |
| CA (1) | CA3009091A1 (en) |
| DE (1) | DE102015122800B3 (en) |
| RU (1) | RU2704916C1 (en) |
| WO (1) | WO2017108357A1 (en) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102018102568A1 (en) * | 2018-02-06 | 2019-08-08 | Karl Leibinger Medizintechnik Gmbh & Co. Kg | Implant with radially extended post to support structure, soft tissue displacement system, manufacturing process and planning process for manufacturing an implant |
| US10702319B2 (en) | 2018-07-09 | 2020-07-07 | Robert G. Hale | Apparatus and method for a transalveolar dental implant |
| DE102020130333A1 (en) | 2020-11-17 | 2022-05-19 | Joachim Brinkmeier | jaw implant |
| DE102020130327A1 (en) | 2020-11-17 | 2022-05-19 | Joachim Brinkmeier | jaw implant |
| WO2023250102A1 (en) * | 2022-06-23 | 2023-12-28 | New York University | Semi-radiolucent patient-specific 3d-printed lattice titanium plate |
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Also Published As
| Publication number | Publication date |
|---|---|
| JP2021192803A (en) | 2021-12-23 |
| EP3393395A1 (en) | 2018-10-31 |
| JP2018538101A (en) | 2018-12-27 |
| BR112018012778A2 (en) | 2018-12-04 |
| JP7393399B2 (en) | 2023-12-06 |
| AU2016375815B2 (en) | 2021-05-27 |
| US20200261189A1 (en) | 2020-08-20 |
| WO2017108357A1 (en) | 2017-06-29 |
| AU2016375815A1 (en) | 2018-08-02 |
| DE102015122800B3 (en) | 2017-05-11 |
| CN108430382B (en) | 2022-05-13 |
| CA3009091A1 (en) | 2017-06-29 |
| RU2704916C1 (en) | 2019-10-31 |
| BR112018012778B1 (en) | 2021-06-01 |
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